NRS 695I.010Definitions.As
used in this chapter, unless the context otherwise requires, the words and
terms defined in NRS 695I.020 to 695I.110, inclusive, have the meanings ascribed to
them in those sections.

NRS 695I.050“Federal Act” defined. [Effective through December 31, 2013.]“Federal Act” means the federal Patient
Protection and Affordable Care Act, Public Law 111-148, as amended by the
federal Health Care and Education Reconciliation Act of 2010, Public Law
111-152, and any amendments to, or regulations or guidance issued pursuant to,
those acts.

NRS 695I.100“Qualified small employer” defined.“Qualified
small employer” means a small employer that chooses to make all of its
full-time employees eligible for one or more qualified health plans offered
through the Exchange to assist qualified small employers in Nevada in
facilitating the enrollment of their employees in qualified health plans
offered in the small group market, if the employer:

1. Has its principal place of business in
Nevada and chooses to provide coverage through the Exchange to all of its
eligible employees, regardless of where those employees are employed; or

2. Regardless of the location of its
principal place of business, chooses to provide coverage through the Exchange
to all of its eligible employees who are principally employed in Nevada.

(c) Provide for the establishment of a program to
assist qualified small employers in Nevada in facilitating the enrollment of
their employees in qualified health plans offered in the small group market;

(d) Make only qualified health plans available to
qualified individuals and qualified small employers on or after January 1,
2014; and

(e) Unless the Federal Act is repealed or is held
to be unconstitutional or otherwise invalid or unlawful, perform all duties
that are required of the Exchange to implement the requirements of the Federal
Act.

2. The Exchange may:

(a) Enter into contracts with any person,
including, without limitation, a local government, a political subdivision of a
local government and a governmental agency, to assist in carrying out the
duties and powers of the Exchange or the Board; and

(b) Apply for and accept any gift, donation,
bequest, grant or other source of money to carry out the duties and powers of
the Exchange or the Board.

(d) Experience as a consumer who would benefit
from services provided by the Exchange; or

(e) Experience as a consumer advocate, including,
without limitation, experience in consumer outreach and education for those who
would benefit from services provided by the Exchange.

4. When making an appointment pursuant to
subsection 2, the Governor, the Majority Leader and the Speaker of the Assembly
shall consider the collective expertise and experience of the voting members of
the Board and shall attempt to make each appointment so that:

(a) The areas of expertise and experience
described in subsection 3 are collectively represented by the voting members of
the Board; and

(b) The voting members of the Board represent a
range and diversity of skills, knowledge, experience and geographic and
stakeholder perspectives.

5. A voting member of the Board may not be
a Legislator or hold any elective office in State Government.

6. While serving on the Board, a voting
member may not be in any way affiliated with a health insurer, including,
without limitation, being an employee of, consultant to or member of the board
of directors of a health insurer, having an ownership interest in a health
insurer or otherwise being a representative of a health insurer.

7. The following are ex officio nonvoting
members of the Board who shall assist the voting members of the Board by
providing advice and expertise:

(a) The Director of the Department of Health and
Human Services, or his or her designee;

(b) The Director of the Department of Business
and Industry, or his or her designee; and

(c) The Director of the Department of
Administration, or his or her designee.

1. After the initial terms, the term of
each voting member of the Board is 3 years.

2. A voting member of the Board may be
reappointed to the Board.

3. The appointing authority who appoints a
voting member of the Board may remove that voting member if the voting member
neglects his or her duty or commits misfeasance, malfeasance or nonfeasance in
office.

4. A vacancy on the Board in the position
of a voting member must be filled in the same manner as the original
appointment.

5. Upon the expiration of his or her term
of office, a voting member of the Board may continue to serve until he or she
is reappointed or a person is appointed as a successor.

NRS 695I.330Members serve without compensation; per diem and travel
expenses.

1. Except as otherwise provided in
subsection 2, the voting members of the Board shall serve without compensation.

2. If sufficient money is available from
federal grant funds or revenues generated by the Exchange, each member is
entitled to receive the per diem allowance and travel expenses provided for
state officers and employees generally while attending meetings of the Board or
otherwise engaged in the business of the Board.

1. The Board may appoint subcommittees and
advisory committees composed of members of the Board, former members of the
Board and members of the general public who have experience with or knowledge
of matters relating to health care to consider specific problems or other matters
within the scope of the powers, duties and functions of the Board.

2. To the extent practicable, the members
of such a subcommittee or advisory committee must be representative of the
various geographic areas and ethnic groups of this State.

3. A member of a subcommittee or an
advisory committee will not be compensated or reimbursed for travel or other
expenses relating to any duties as a member of the subcommittee or advisory
committee.

(b) On or before June 30 and December 31 of each
year, submit a written fiscal and operational report to the Governor and the
Legislature, which must include, without limitation, any recommendations
concerning the Exchange;

(c) On or before December 31 of each year,
prepare a report for the public summarizing the activities of the Board and the
contributions of the Exchange to the health of the residents of Nevada during
the previous year;

(d) Provide for an annual audit of its functions
and operations;

(e) Submit all reports required by federal law to
the appropriate federal agency and in a timely manner; and

(f) If the Federal Act is repealed or is held
unconstitutional or otherwise invalid or unlawful, define by regulation
“qualified health plan” for the purposes of this act.

2. The Board may:

(a) Adopt regulations to carry out the duties and
powers of the Exchange;

(b) Prepare special reports concerning the
Exchange for the Governor, the Legislature and the public; and

(c) Contract for the services of such legal,
professional, technical and operational personnel and consultants as the
execution of its duties and powers and the operation of the Exchange may
require.

NRS 695I.390Coordination with Medicaid, Children’s Health Insurance Program
and other public programs.

1. The Board and the Department of Health
and Human Services shall ensure that the Exchange coordinates with Medicaid, the
Children’s Health Insurance Program and any other applicable state or local
public programs to create a single point of entry for users of the Exchange who
are eligible for such programs and to promote continuity of coverage and care.

2. As used in this section, “Children’s
Health Insurance Program” has the meaning ascribed to it in NRS 422.021.

NRS 695I.500State agencies to provide support to Exchange; intergovernmental
agreements.The Department of
Health and Human Services, the Division of Insurance of the Department of
Business and Industry and any other relevant state agency shall work with and
provide support to the Exchange as it carries out its duties and powers,
including, without limitation, entering into agreements to share information and
intergovernmental agreements with the Exchange.

NRS 695I.510Executive Director may request advance from State General Fund;
conditions; notification; repayment.

1. If the Executive Director determines
that the current expenses of the Exchange exceed the amount of money available
because of a delay in the receipt of money from federal grants or a delay in
the receipt of revenue from other sources, the Executive Director may request
from the Department of Administration an advance from the State General Fund
for the payment of authorized expenses.

2. If the Director of the Department of Administration
approves a request made pursuant to subsection 1, he or she shall notify the
State Controller and the Fiscal Analysis Division of the Legislative Counsel
Bureau of the amount of advance approved.

3. Upon receiving notification pursuant to
subsection 2, the State Controller shall draw his or her warrant for payment of
the approved amount.

4. An advance made pursuant to this
section must not exceed 25 percent of the revenue expected to be received from
any source other than legislative appropriation during the fiscal year in which
the request is made.

5. Any money which is advanced pursuant to
this section must be repaid by the Exchange to the State General Fund not later
than August 31 immediately after the end of the fiscal year during which the
advance is made.

NRS 695I.520Construction of chapter.Nothing
in this act, and no action taken by the Exchange pursuant to this act, shall be
construed to preempt or supersede the authority of the Commissioner to regulate
the business of insurance within this State.